Ocular
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2012
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2012
OMIG Abstract 8
Varicella-Zoster Virus Detection in Varicella-Associated Stromal Keratitis
A. Matoba1, B. Meghpara1, P. Chevez-Barrios2
1Baylor College of Medicine; 2The Methodist Hospital, Houston TX
Purpose: To report the detection of varicella-zoster virus (VZV) in the cornea of a patient with stromal keratitis following primary systemic infection with VZV.
Methods: Observational case report.
Results: A nine year old girl developed nonsuppurative stromal keratitis (NSSK) 3 months following varicella. The keratitis initially responded to topical corticosteroid therapy but she eventually developed increased inflammation which led to significant scarring. A penetrating keratoplasty was performed. Histopathological evaluation revealed scattered chronic lymphocytic infiltrates throughout the stroma and focally degenerated endothelium. Varicella-zoster virus (VZV) was detected by PCR in the deep stroma of the corneal button.
Conclusion: We believe that this is the first PCR-proven case of NSSK associated VZV following varicella infection.
Disclosure: This study was supported by an unrestricted grant from Research to Prevent Blindness, New York, NY.
2012
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